Identifying priority policy issues and health system research questions associated with recovery outcomes for burns survivors in India: a qualitative inquiry

Jagnoor, Jagnoor; Bekker, Sheree; Chamania, Shobha; Potokar, Tom; Ivers, Rebecca

doi:10.1136/bmjopen-2017-020045

Cited by 19 publications

(15 citation statements)

References 19 publications

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“…Overall, this requires multidisciplinary efforts rather than only efforts of the health sectors. Future work in injury prevention in Vietnam may benefit from detailed quantitative and qualitative assessments, as has been done for drowning 44…”

Section: Discussionmentioning

confidence: 99%

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Burden of injuries in Vietnam: emerging trends from a decade of economic achievement

et al. 2020

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BackgroundVietnam has been one of the fastest-growing world economies in the past decade. The burden of injuries can be affected by economic growth given the increased exposure to causes of injury as well as decreased morbidity and mortality of those that experience injury. It is of interest to evaluate the trends in injury burden that occurred alongside Vietnam’s economic growth in the past decade.MethodsResults from Global Burden of Disease 2017 were obtained and reviewed. Estimates of incidence, cause-specific mortality, years lived with disability, years of life lost, disability-adjusted life years were analysed and reported for 30 causes of injury in Vietnam from 2007 to 2017.ResultsBetween 2007 and 2017, the age-standardised incidence rate of all injuries increased by 14.6% (11.5%–18.2%), while the age-standardised mortality rate decreased by 11.6% (3.0%–20.2%). Interpersonal violence experienced the largest increase in age-standardised incidence (28.3% (17.6%–40.1%)), while exposure to forces of nature had the largest decrease in age-standardised mortality (47.1% (37.9%–54.6%)). The five leading causes of injury in both 2007 and 2017 were road injuries, falls, exposure to mechanical forces, interpersonal violence and other unintentional injuries, all of which increased in incidence from 2007 to 2017. Injury burden varied markedly by age and sex.ConclusionsThe rapid expansions of economic growth in Vietnam as well as improvements in the Sociodemographic Index have occurred alongside dynamic patterns in injury burden. These results should be used to develop and implement prevention and treatment programme.

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Section: Discussionmentioning

confidence: 99%

“…Future work in injury prevention in Vietnam may benefit from detailed quantitative and qualitative assessments, as has been done for drowning. 44 …”

Section: Discussionmentioning

confidence: 99%

Burden of injuries in Vietnam: emerging trends from a decade of economic achievement

et al. 2020

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“…In India, also, standards are not fully complied in which provided interventions and services substantially vary from one hospital to another. Partly it is due to lack of clinical guidelines [14].…”

Section: Discussionmentioning

confidence: 99%

“…This study showed that the lack of operating standards for burn treatment, different knowledge and skills from health professionals in providing burn care, along with resource shortages, affect the quality of burn care for patients [13]. Jagnoor et al (2017) identified the challenges of burn and recovery care such as poor communication between health care providers and burn victims, limited rehabilitation services, transportation problems to health centres, and high costs of burn treatment and confirmed the need for long-term rehabilitation [14]. Wang et al (2018) identified the challenges and improvements in burn wound healing, infection, pain and wound and explained there are challenges in long-term treatment and wound healing, infection, pain and hypertrophic wounds in burn management [15].…”

Section: Introductionmentioning

confidence: 99%

How the service delivery works in the Iranian specialised burns hospitals? A qualitative approach

et al. 2019

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As burn injuries are a major cause of death and infirmity, successful service delivery is vital in health systems. In Iran, a few specialised burns hospitals (SBHs) located in big provinces provide burn services in which burn patients with more severe conditions are referred to. However, SBHs are faced with several challenges for delivering due treatment for burn patients. So, for the first time in Iran, the main aim of the study was to identify the challenges of delivering burn services in SBHs. For this purpose, we conducted a qualitative study during February 2017 to April 2018. Key informants were purposefully selected and interviewed at national and provincial levels from the Ministry of Health, medical universities, and informants working in eight SBHs. The saturation point was reached at 21 face-to-face semi-structured interviews. A thematic analysis approach was employed to analyse transcribed documents assisted by MAXQDA Plus version 12. Our results reveal four themes and twelve subthemes on the challenges of delivering services in SBHs. Themes and (subthemes) including burn care continuum (preventive care, pre-hospital care, hospital care, follow-up, and home care), regionalisation of burning services (access to other specialties and medical services, access to specialized care in provinces without a SBH, standardised regionalisation system for burn related services (BRSs), costs of providing BRSs (expensive services and supplies and long hospitalisation), and non-compliance with standardised care (guidelines to provide burn care and physical space to provide BRSs). Results suggest that improving BRSs delivery in Iran may be reached by strengthening burn care continuum, regionalising burn care, allocating sufficient budgets to burn services and formulating burn care guidelines. These policy actions can be better addressed via intra-sectoral collaborations.

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“…In general, several studies have found different community characteristics between those who live in urban and rural areas. Among them, the education status of rural communities tends to be lower than that of urban areas, opportunities to access information in rural communities are more limited, more rural communities especially women who are not working, and poverty is predominant in rural (Xu et al, 2018) (Jagnoor et al, 2018) (Weinhold and Gurtner, 2018). Other characteristics are geographical features that tend to be more severe, for example mountainous areas, uneven land contours, large forests, which have an impact on transportation difficulties, which will further strengthen the reluctance of people to go to health care facilities (Lam et al, 2018) (Jarman et al, 2018) (Spees et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Urban-Rural Disparities of Facility-Based Childbirth in Indonesia

Laksono¹,

Wulandari²

2019

Preprint

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Background: Equitable distribution of health services between areas is still a problem in various countries. Even in developed countries. This condition also applies to the utilization of healthcare facilities for childbirth.Objective: To analyze the urban-rural disparities of facilities-based childbirth in Indonesia.Methods: The analysis in this study uses raw data from the 2017 IDHS. With stratification and multistage random sampling, 17,769 women aged 15-49 years with live births in the last 5 years were sampled. Data were analyzed using a Binary Logistic Regression test.Results: Women in urban areas were probably 2.417 times more utilizing healthcare facilities for delivery than those in rural areas. Women with tertiary education were likely to be 1.709 times more utilizing healthcare facilities for delivery than those who don't. Richest women were probably 6.556 times more utilizing healthcare facilities for delivery than poorest women. Women who have health insurance maybe 1.437 times more utilizing healthcare for delivery than women who don't have. Women who know about the danger signs of pregnancy are more than 1.514 times more likely to utilize healthcare for delivery than those who don't know. Women who do ANC ≥ 4 times have the possibility of 1.729 times using healthcare facilities compared to those who do ANC less than 4.Conclusion: There were significant differences between women in urban and rural areas in utilizing healthcare facilities for delivery. Women who live in urban areas have a better chance to utilize healthcare facilities for delivery. The government needs to focus on women with low education and poor status. Interventions were needed by socializing the danger signs of pregnancy in rural areas. In addition, it was also necessary to expand the scope of membership of the National Health Insurance in rural areas.

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Identifying priority policy issues and health system research questions associated with recovery outcomes for burns survivors in India: a qualitative inquiry

Cited by 19 publications

References 19 publications

Burden of injuries in Vietnam: emerging trends from a decade of economic achievement

Burden of injuries in Vietnam: emerging trends from a decade of economic achievement

How the service delivery works in the Iranian specialised burns hospitals? A qualitative approach

Urban-Rural Disparities of Facility-Based Childbirth in Indonesia

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